| Summerlin Psychology Llc | |
|
10501 W Gowan Rd Ste 260 Las Vegas NV 89129-6603 | |
| (702) 758-4587 | |
| Not Available |
| Full Name | Summerlin Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10501 W Gowan Rd Ste 260, Las Vegas, Nevada |
| Authorized Official Name and Position | Sung Cho (SOLE MEMBER) |
| Authorized Official Contact | 7027584587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summerlin Psychology Llc 11035 Lavender Hill Dr # 160-605 Las Vegas NV 89135-2955 Ph: (702) 758-4587 | Summerlin Psychology Llc 10501 W Gowan Rd Ste 260 Las Vegas NV 89129-6603 Ph: (702) 758-4587 |
| NPI Number | 1770288789 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 5496110116 |
|---|---|
| Medicare Enrollment ID | O20230503000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770288789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sung J Cho |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770789307 PECOS PAC ID: 0840383618 Enrollment ID: I20201030000867 |
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